Individual
JOHN BUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
1310 E ARLINGTON BLVD, GREENVILLE, NC 27858-5931
(252) 321-6306
Mailing address
PO BOX 220, SIMPSON, NC 27879-0220
(252) 822-1065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
08/12/2010
Last updated
02/13/2012
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